NPI | 1538101126 |
---|---|
Other Name | BALBOA TEEN CLINIC |
Entity Type | Organization |
Authorized Contact | THOMAS JOHN ISTVAN Director Of PFS 415-759-4064 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-06-11 |
Last Update Date | 2021-02-17 |